乳腺癌的钼靶X线、CT及病理对照分析

    Comparative studies on mammography, CT and pathologic changes of patients with breast neoplasm

    • 摘要: 目的:评价乳腺癌的钼靶X线和CT影像学的临床价值。方法:选择45例可疑乳腺癌患者进行钼靶X线和CT影像学检查,并与病理组织学检查的结果进行比较分析与评价。观察钼靶X线与CT和组织学检查在诊断方面的差异。结果:钼靶X线诊断乳腺癌38例,病灶检出率为84.4%;螺旋CT诊断乳腺癌42例,病灶检出率为93.3%;两者结合诊断乳腺癌44例,诊断的正确率为97.8%。钼靶X线发现钙化33例,阳性率为73.3%;CT发现钙化21例,阳性率为46.7%。34例有腋窝淋巴结转移,钼靶X线发现腋窝淋巴结转移23例,阳性率为67.6%;CT发现腋窝淋巴结转移30例,阳性率为88.2%。结论:钼靶X线和CT对乳腺癌的诊断均有重要的作用,但两者各有其特点,两者结合可提高乳腺癌诊断的正确率。

       

      Abstract: Objective:To investigate the clinical value of CT and digital mammography for diagnosis of breast neoplasm. Methods:Forty-five patients suspected as breast cancer underwent CT imaging and mammography,and compared to the results of histopathological examination. The differences in diagnosis were compared with these examinations. Results:The positive detection rates of CT and mammography were 84.4% (38/45) and 93.3% (42/45) respectively. The combination positive detection rate was 97.8% (44/45). In detecting breast cluster of calcification,the sensitivity of mammography was 73.3% (33/45),which was better than CT scan(46.7%, 21/45). The axillary lymph metastases were found in 34 patients. In detecting the axillary lymph metastases of the breast carcinoma,the sensitivity of CT scan was 88.2% (30/34),which was better than mammography(67.6%,23/34). Conclusions:The mammography and CT play the important role in diagnosis of breast neoplasm and showed the different character. The mammography combined with CT can improve the accurate rate of diagnosis.

       

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